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General NPI Number Information
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NPI Number | 1871046623
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Entity Type | Organization
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Legal Business Name | RC HOME CARE SERVICES, INC.
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 08/05/2016
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Provider Practice Location Address
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Address Line | 4555 NE 66TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98661-3181
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Country | US
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Telephone | 360-314-2561
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Fax | 360-314-2943
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Provider Business Mailing Address
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Address Line | 16420 SE MCGILLIVRAY BLVD SUITE 103-357
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City | VANCOUVER
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State | WA
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Zip | 98683-3461
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Country | US
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Telephone | 360-314-2561
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Fax | 360-314-2943
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Authorized Official
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Title or Position | PRESIDENT
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Name | RON COCHRAN
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Credential |
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Telephone | 360-314-2561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | IHS.FS.60199563
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License Number State | WA
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